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The effects of an injury prevention intervention on playing-related pain, tension, and attitudes in the high school string orchestra classroom

THE EFFECTS OF AN INJURY PREVENTION INTERVENTION ON
PLAYING-RELATED PAIN, TENSION, AND ATTITUDES IN THE HIGH
SCHOOL STRING ORCHESTRA CLASSROOM
by
M. Anne Rardin
A Dissertation Presented to the
FACULTY OF THE THORNTON SCHOOL OF MUSIC
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF MUSICAL ARTS
(MUSIC EDUCATION)
December 2007
Copyright 2007 M. Anne Rardin

Pain is the most common complaint among musicians seeking treatment for playing-related musculoskeletal disorders. Results of multiple studies have suggested that playing-related injury rates increase as musicians progress from adolescence through collegiate years to professional careers. Researchers have recommended that prevention efforts focus on young players who are developing their playing behaviors.; The purpose of this study was to determine the effects of a multiple-modality injury prevention program on playing-related (1) pain, (2) tension, and (3) attitudes of "no pain, no gain." The subjects of this study were early high school string players (ages 14-15), from a large public school orchestra program. Pretest and posttest questionnaires were completed by both the experimental (n = 65) and control groups (n = 65) to determine changes brought about by the injury prevention program.; The intervention consisted of a 10-week, multiple-modality program of prevention education and physical "warm-ups" based upon Feldenkrais, Alexander, and physical therapy. These warm-ups were designed to inform musicians in the intervention group both cognitively and experientially about injury prevention.; Results indicated significant pretest-posttest interaction effects for pain frequency, pain severity, tension frequency and "no pain, no gain" attitudes. Additionally, tension severity approached a significant interaction (p = .098).; Analysis of the effects of the intervention program indicated that experimental students reported less pain at the end of the study, but more tension or discomfort--suggesting an increased sensitivity to tension/discomfort. Along with a reduction in attitudes of "no pain, no gain" these results indicated that a multiple-modality prevention program is effective in changing pain, tension, and attitudes in pre-college string players.

THE EFFECTS OF AN INJURY PREVENTION INTERVENTION ON
PLAYING-RELATED PAIN, TENSION, AND ATTITUDES IN THE HIGH
SCHOOL STRING ORCHESTRA CLASSROOM
by
M. Anne Rardin
A Dissertation Presented to the
FACULTY OF THE THORNTON SCHOOL OF MUSIC
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF MUSICAL ARTS
(MUSIC EDUCATION)
December 2007
Copyright 2007 M. Anne Rardin